老年社区获得性肺炎临床分析

目的:观察老年患者社区获得性肺炎(CAP)的临床及治疗现况。方法:连续入选2007年9月至2010年5月在我院呼吸科住院治疗的CAP患者432例，记录临床特点、基础疾病、并发症、病原学和治疗情况，分析年龄≥65岁与非老年患者的差异。结果:432例CAP患者中，老年人共136例(31.4％)，与非老年患者比较，老年CAP...

Analysis of Clinical Features of Elderly Patients with Community-Acquired Pneumonia

Objective: To investigate the clinical features and treatment of elderly patients with community-acquired pneumonia(CAP).Methods: The clinical data of 432 patients with CAP in our department from Sep,2007 to May,2010 were retrospectively reviewed.Clinical features,basic diseases,complications,aetiology,and treatment data were compared between ≥65 years old group and <65 years old group.Results: Of the 432 patients,136(31.4%) were older than 65 years.Compared with the younger group,the aged patients had a higher prevalence in comorbidities(P<0.01),listlessness(20% vs.6%,P<0.01),respiratory failure(18% vs.7%,P<0.01) and shock(15% vs.7%,P<0.01).The main pathogens were Gram-negative bacilli in the aged patients,which were higher than in younger group(63.6% vs.41.6%,P<0.01).Carbapenems and multi-antibiotics therapy was more commonly used in the aged patients.The average duration of hospitalization and the average cost of hospitalization in the aged patients were also higher and more.Conclusion: The clinical features of elderly patients with CAP are more complex and severe.The treatment of the elderly patients with CAP is more difficult than that of younger ones.